Affinity Home Care Agency, Inc.
Organization Active NPI Homemaker · Heathrow, FL
NPI 1811495724 · NPPES record last updated May 3, 2022
Key facts
- NPI
- 1811495724
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Homemaker 376J00000X
- Legal business name
- AFFINITY HOME CARE AGENCY, INC.
- Practice address
- 250 International Pkwy Ste 134
Heathrow, FL 32746-5044 - Phone
- (850) 765-5241
- Fax
- (360) 933-2951
- NPI assigned
- Jan 25, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- AFFINITY HOME CARE AGENCY, INC.
Authorized official
- Name
- Merlene Delois Johnson, MASTERS OF BUSINESS
- Title
- Director
- Phone
- (850) 765-5241
Corporate family (same tax ID) 9
Practitioners 1
-
Arlette Bridges, M.S.
National Provider Directory
- Tax ID family
- Affinity Home Care Agency Inc
- Part of
- Affinity Home Care Agency Inc
Locations
250 International Pkwy
Ste 134
Lake Mary, FL 32746
Phone (407) 240-1800
1584 Metropolitan Blvd
Ste 101
Tallahassee, FL 32308
Phone (850) 201-8452
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 234961 | FL | |
| Adult Companion |
372600000X | |||
| Homemaker |
376J00000X | Yes |
Addresses
Primary practice location
250 International Pkwy Ste 134
Heathrow, FL 32746-5044
Mailing address
1584 Metropolitan Blvd Ste 101
Tallahassee, FL 32308-1701
Phone (850) 765-5241
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 234962 | Medicaid | FL | |
| 233632 | Medicaid | FL | |
| 234961 | Medicaid | FL |
Other providers in Heathrow, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.